咨询描述:医生您好,我家小狗三个多月,前几天出现咳嗽症状,当天晚上也是一直咳,第二天带去医院,测了crp和血检,后来排除了传染病和犬瘟,检测如图,然后拍了片显示有点白肺和肺水肿,已经连打三天针➕雾化,但是狗还是会咳嗽并且咳嗽前会很喘,呼吸声很大,不知道还有什么办法
问题大致一样,细节不同?
闻晓敏
执业兽医师
看了检查单,检查结果都挺好的,血常规提示宝贝有一些贫血,后续慢慢调理,这个问题不大。
可以把拍片的片子也发给我看看。它是打的小针还是输液的呀?用药后虽然没有恢复但是症状有改善吗?
是打针,没有输液,医生说片子是显示白肺和肺里有积液,我暂时没有照片,明天带它去打针的时候再发给您,我会再问一下具体的针剂和药的名字。它刚开始咳嗽是干咳,几分钟会咳一下,我以为是卡东西了没在意,第二天才知道是咳嗽就带去医院了,现在已经打针三天,咳嗽从干咳变成喉咙有痰的声音,伴随喘气很重,但是咳嗽没有之前那么频繁,可能二十分钟咳几下次,之前医生说他缺氧要吸氧气,但是我没让他住院,我怕它是不是缺氧,咳嗽才会喘那么严重,有点担心
闻晓敏
执业兽医师
肺部有积液,白肺可能是肺水肿,或者胸腔积液导致的。这种情况需用利尿剂比如***让机体多排除水分,症状会得到改善。
你先把片子发给我看看,然后告诉你可以使用哪些药物哈
医生您好,我把狗狗四天的看诊记录和用药以及片子发给您了,您帮忙看下。还有就是我在网上看到用 **霉素干混悬剂➕京都念慈菴蜜炼****膏 给狗治咳嗽,他咳嗽如果还是没有缓解我是否可以用这两种药搭配来给他止咳。
为保护用户隐私不显示图片/视频
闻晓敏
执业兽医师
你让医生把正位片也发过来。这张侧位片显示是严重的肺炎,不是肺水肿的征象
闻晓敏
执业兽医师
从侧位片看狗狗是肺水肿,肺炎的征象,没有胸水(胸腔积液),目前按照肺炎治疗,周期1-2周
我感觉打针缓解了一点咳嗽,但是还是会咳,我可否用 **霉素干混悬剂+京都念慈巷蜜炼****膏给它吃
闻晓敏
执业兽医师
他这个治疗周期得一到两个星期严重的可能还要拖到三周,你这才打三天针,才三天,症状有改善都已经很好了哦,继续按医生的方案治疗就行了,不要给他用人吃的药呢。如果后面有明显的改善,你可以自己买个雾化机在家做雾化,可以给他改成口服药治疗。
今天2.1kg,已经买了雾化机给它做雾化了。是从医院开的雾化药,您看那个药的价格是否有不符,有什么建议吗?
闻晓敏
执业兽医师
我这里看到用的药品,没有看到价格呀。回家之后的口服药开了一周,麻***够七天吗?我又给你开了一些,建议可以再搭配**环素一起治疗。
还有一小瓶10ml,每天上午打针只需要晚上喂一顿,还能喂五天呢。谢谢医生,**环素是每天吃多少呢?医生还开了半片利尿的药
闻晓敏
执业兽医师
他是肺炎不需要吃利尿的药。
**环素一天两次,一次10mg。如果它属于不好喂药的,就一天一次,一次20mg
您好,今天带去医院的时候医生是说给他开了利尿的药,因为之前是说是有水肿还是什么的,那我后续买**环素片配合它吃好了。还有就是它雾化的药有什么建议的吗,我今天除了打针➕让医生开了两次雾化的药,还有一片利尿的药就已经一百多了,不知道是否有雾化药的建议,还是我就从宠物医院继续买比较好呢?
闻晓敏
执业兽医师
雾化可以使用布***或者****,每次1ml药➕5-6ml生理盐水,早晚各一次。
可以去药店购买上面提到的雾化的药。
虽然建议了人用药的使用,但是我本人和平台是不支持给宠物使用人用药的,该用药的治疗效果及意外风险我本人及平台是无法承担的,还请您考虑清除后采纳。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
{"591123":{"id":591123,"case_id":65636,"user_id":2218472,"to_user_id":2435559,"type":3,"content":"我这里看到用的药品,没有看到价格呀。回家之后的口服药开了一周,麻***够七天吗?我又给你开了一些,建议可以再搭配**环素一起治疗。","media":{"images":{},"videos":{},"business_params":{"prescription_id":157679}},"is_doctor":1,"status":1,"created_at":"2023-11-03 13:11:06","show_rx":true,"rx_info":{"id":157679,"rx_no":2.02311031310105e+24,"user_id":2435559,"doctor_user_id":2218472,"is_independent":0,"case_id":3190252,"pet_info":{"pet_id":411572,"pet_name":"柴犬","pet_nickname":"溜溜","pet_gender":2,"pet_birth":"0-2","pet_weight":0,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"2个月"},"diagnose":"肺炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2023-11-03 13:10:10","updated_at":"2023-11-03 13:11:06","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":125945,"prescription_id":157679,"doctor_user_id":2218472,"product_id":700,"product_sku_id":743,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-03 13:10:10","updated_at":"2023-11-03 13:10:10","product_info":{"id":700,"hash_id":"V9we7N4JmypPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":38,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":75,"max_price":75,"sale_count":187,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:26:04","ins":{"id":38,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/8a78184c305b76fa318ea81f60ad3e80.JPG","specification":"10mg×8片×2板\/盒","reference_price":128,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:26:57","updated_at":"2020-10-30 17:26:57"}},"product_sku_info":{"id":743,"product_id":700,"title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","advword":null,"price":75,"market_price":128,"cost_price":0,"stock":123,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg盒装"}},"cover":null,"thumb":"","sale_count":191,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:15:28"}},"1":{"id":125946,"prescription_id":157679,"doctor_user_id":2218472,"product_id":691,"product_sku_id":734,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-11-03 13:10:10","updated_at":"2023-11-03 13:10:10","product_info":{"id":691,"hash_id":"yZ893BxE6qpE2mkO","class_ids":{"0":1,"1":2},"category_ids":{"0":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":43,"sell_point":"欣必先 麻杏石甘口服液","title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","recommend_reason":{"0":"本品具有清热解毒、止咳平喘的作用。","1":"适用于犬副流感、猫疱疹病毒、环境气候突变等引起的呼吸系统感染。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,感冒,疱疹,杯状病毒,呼吸系统,支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10支盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ebdae17dda025eaeb98a31c607d5b2a6.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":39,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:36:18","ins":{"id":43,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"麻杏石甘口服液","trade_name":"欣必先","en_name":"","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/cf1275655c6288242e6b7585666329d0.JPG","specification":"10ml×10支\/盒","reference_price":98,"component":"麻黄、苦杏仁、石膏、甘草。(10mL相当于原生药24g)","indication":"本品具有清热解毒、止咳平喘的作用。适用于犬副流感、犬传染性支气管炎、感冒、猫疱疹病毒、杯状病毒和环境气候突变等引起的呼吸系统感染。","usage_dosage":"1.口服:犬、猫0.5~1mL\/kg体重,每日2次,连用3~5天。\n2.服用后20分钟内暂勿饮水,30分钟后临床症状可明显缓解。","contraindication":"","adverse_reaction":"","attention":"使用前请摇匀。","interaction":"","approval_no":"兽药字030466112","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 18:13:21","updated_at":"2020-11-03 18:13:21"}},"product_sku_info":{"id":734,"product_id":691,"title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","advword":null,"price":78,"market_price":98,"cost_price":0,"stock":166,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10支盒装"}},"cover":null,"thumb":"","sale_count":45,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:34:50"}}},"drug_data_bak":{"0":{"id":125945,"prescription_id":157679,"doctor_user_id":2218472,"product_id":700,"product_sku_id":743,"dose":1,"dose_unit":"片","use_method":"口服","frequency":"每天2次","days":7,"number":1,"remark":"","created_at":"2023-11-03 13:10:10","updated_at":"2023-11-03 13:10:10","product_info":{"id":700,"hash_id":"V9we7N4JmypPbGWA","class_ids":{"0":1,"1":2},"category_ids":{"2":163},"is_drugstore":1,"is_prescription":1,"drug_instruction_id":38,"sell_point":"巧乐林 盐酸多西环素片","title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","recommend_reason":{"0":"用于犬猫病毒性疾病的继发感染","1":"用于各类菌等引起的呼吸系统感染"},"baike_guide_text":"","baike_article_hash_id":"","advword":"支气管炎,疱疹病毒,猫杯状病毒,眼结膜潮红,间歇性咳嗽,脓性鼻汁,支原体,衣原体,链球菌,葡萄球菌,呼吸道问题,呼吸道感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10mg盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/858b435a4f1ccd8d05963148bb210722.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":75,"max_price":75,"sale_count":187,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:26:04","ins":{"id":38,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"盐酸多西环素片","trade_name":"巧乐林","en_name":"","brand_name":"远征","is_prescription":1,"cover":"\/drug\/2020\/10\/8a78184c305b76fa318ea81f60ad3e80.JPG","specification":"10mg×8片×2板\/盒","reference_price":128,"component":"盐酸多西环素","indication":"1.应用于病毒性疾病(如犬副流感、犬传染性支气管炎、猫疱疹病毒、猫杯状病毒等)的继发感染。\n2.支原体、衣原体、链球菌、葡萄球菌、巴氏杄菌和支气管败血性博德特菌等引起的呼吸系统感染,钩端螺旋体、立克次氏体、弓形体、埃利希氏体和血巴尔通体等疾病的治疗。","usage_dosage":"犬猫口服。5~10mg\/kg体重,1~2次\/日,连用3~5天。","contraindication":"对多西环素过敏的动物禁用。","adverse_reaction":"","attention":"孕宠慎用。","interaction":"","approval_no":"兽药字030461354","storage_method":"置于阴凉干燥处保存","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-10-30 17:26:57","updated_at":"2020-10-30 17:26:57"}},"product_sku_info":{"id":743,"product_id":700,"title":"远征巧乐林 盐酸多西环素片 10mg×8片×2板\/盒","advword":null,"price":75,"market_price":128,"cost_price":0,"stock":123,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10mg盒装"}},"cover":null,"thumb":"","sale_count":191,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 14:25:03","updated_at":"2024-11-20 09:15:28"}},"1":{"id":125946,"prescription_id":157679,"doctor_user_id":2218472,"product_id":691,"product_sku_id":734,"dose":2,"dose_unit":"ml","use_method":"口服","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2023-11-03 13:10:10","updated_at":"2023-11-03 13:10:10","product_info":{"id":691,"hash_id":"yZ893BxE6qpE2mkO","class_ids":{"0":1,"1":2},"category_ids":{"0":201},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":43,"sell_point":"欣必先 麻杏石甘口服液","title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","recommend_reason":{"0":"本品具有清热解毒、止咳平喘的作用。","1":"适用于犬副流感、猫疱疹病毒、环境气候突变等引起的呼吸系统感染。"},"baike_guide_text":"","baike_article_hash_id":"","advword":"呼吸道感染,感冒,疱疹,杯状病毒,呼吸系统,支气管炎","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10支盒装"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/ebdae17dda025eaeb98a31c607d5b2a6.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":78,"max_price":78,"sale_count":39,"tags":"","sort":0,"status":0,"delete_status":0,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:36:18","ins":{"id":43,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"麻杏石甘口服液","trade_name":"欣必先","en_name":"","brand_name":"远征","is_prescription":0,"cover":"\/drug\/2020\/11\/cf1275655c6288242e6b7585666329d0.JPG","specification":"10ml×10支\/盒","reference_price":98,"component":"麻黄、苦杏仁、石膏、甘草。(10mL相当于原生药24g)","indication":"本品具有清热解毒、止咳平喘的作用。适用于犬副流感、犬传染性支气管炎、感冒、猫疱疹病毒、杯状病毒和环境气候突变等引起的呼吸系统感染。","usage_dosage":"1.口服:犬、猫0.5~1mL\/kg体重,每日2次,连用3~5天。\n2.服用后20分钟内暂勿饮水,30分钟后临床症状可明显缓解。","contraindication":"","adverse_reaction":"","attention":"使用前请摇匀。","interaction":"","approval_no":"兽药字030466112","storage_method":"密封,在凉暗干燥处保存。","validity":"2年","manufacturer":"河北远征药业有限公司","status":1,"created_at":"2020-11-03 18:13:21","updated_at":"2020-11-03 18:13:21"}},"product_sku_info":{"id":734,"product_id":691,"title":"远征欣必先 麻杏石甘口服液 10ml×10支\/盒","advword":null,"price":78,"market_price":98,"cost_price":0,"stock":166,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10支盒装"}},"cover":null,"thumb":"","sale_count":45,"status":0,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 11:25:36","updated_at":"2024-07-19 13:34:50"}}}}}}
微信扫一扫
立即问宠医